TREATMENT OF NEGLEGTED STERNOCLAVICULAR (SC) DISLOCATION WITH CANNULATED SCREW AND CERCLAGE WIRE OSTEOSYNTHESIS
Abstract: Reported a
18-year-old man road motor cycle accident. He presented to the policlinic orthopaedic
department at dr. Zainoel Abidin General hospital with left shoulder pain. He
was diagnosed with a left anterior SC dislocation neglegted. On physical
examination, the patient loss of the normal anatomical contour with prominent
of the left medial clavicle into the superior mediastinum was noted. A vascular
examination was normal, with intact radial, ulnar, median, and axillary nerve
sensation and function. Review of the chest postero anterior view revealed a dislocation
of the medial clavicle with displacement of the medial clavicular fragment
anterior to the manubrium. We treated with open reduction and internal fixation
using cannulated screwing and cerclage osteosynthesis with favourable outcome
up to one year follow up.
Key words: Anterior
sternoclavicular dislocation, neglegted, cannulated screwing and cerclage osteosynthesis
Author: Azharuddin
Journal Code: jpkedokterangg140264